HomeMy WebLinkAbout19-21627 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21627.
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21627 Address: 4826 AIRPORT RD
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 13-26-21-0000-00100-0022
Improv. Cost: 39,950.00 OWNER INFORMATION
Date Issued: 8/14/2019 Name: 4826 AIRPORT RD LLC
Total Fees: 360.00 Address: 29010 TUPPER RD
Amount Paid: 360.00 WESLEY CHAPEL, FL. 33545
Date Paid: 8/14/2019 Phone: 813-210-4368
Work Desc: REROOF METAL
CONTRACTORS APPLICATION FEES
RJ WILBUR CONSTRUCTION INC REROOF COMMERCIAL 360.00
DRY IN ROOF INSP
Ins ections Required
TAPE JOINTS ROOF I �P
FINAL 'r
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNAT E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City d Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting U 1 6-7 2 9 g oo
d�1 /n� 00,g
� 1 -�-
Owner's Name -1 v 2 6 Fir r, U r t F D Ct L Z � Owner Phone Number
Owner's Address 2q s)10 To ?r' QOG d lJe sl q 0vtoel Owner Phone Number
Fee Simple Titleholder Name D W } n�_ 40 n I n 5 Owner Phone Number is
Fee Simple Titleholder Address 2-1010 'FOP Cr' 12.04 d tjesfe C%Au 61 Florlda 335�{S
JOB ADDRESS 4 05 2 6 (�+I Y D r Du 4 2� r h a 1 tS �Or/J Gi LOT#
SUBDIVISION �- PARCEL ID# 13-26-21'd000-,0016 J _ 0G Z Z
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR R
ADD/ALT SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL
DESCRIPTION OF WORK hli n c e 6 U-f co d a I etinAS O n re--t.- ,n eerea roof a m efw ( io!
BUILDING SIZE �-�X�0® SQ FOOTAGE �$Oa HEIGHT ( 6 0+
UILDING $ S@ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ N A AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ Ja I
MECHANICAL $ 1,J t\ VALUATION OF MECHANICAL INSTALLATIO
=GAS = ROOFING Q SPECIALTY = OTHER ® v
FINISHED FLOOR ELEVATIONS A FLOOD ZONE AREA =YES NO
BUILDER h1?jaq.)J1, - �J 1 COMPANY - COr15SIGNATURE J� REGISTERED L& N J FEE CURREN
Address I License#
ELECTRICIAN COMPANY A
SIGNATURE N A REGISTERED Y/ N FEE CURREN Y/N
Address 7771 License#
PLUMBER COMPANY A
SIGNATURE N A REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY /%/LA
SIGNATURE N A REGISTERED T/ N FEE CURREN Y/N
Address License#
OTHER COMPANY N
SIGNATURE I I REGISTERED / N FEE CURREN Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
`PROPERTY SURVEY required for all NEW construction.
. . . . . . . . .
• . . . .■ ■ i ■ ■ i i . . . . . . . . . . . . . . . .■ ■ ■ ■ ■�■ ■ ■ i ■ �■�■�■ �®Pi�■ ■ �i ■�i . i i i i i i i i i i . . . i I�ITi i i�i.i�i�
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2600,a Notice of Commencement is required. (A/C upgrades over$7600)
Agent(for.the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
C,*Z:;;:ER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply tot irr:�� s��:; :r gat it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V' unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTP TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER O AN ATTORNEY BEFORE RECORDING YOM NOTICE OF COMMENCEMENT.
FLORIDA JURA .S 117. 3) + Q
OWNER OR AG CONTRACTOR
Subscribed and sw to(or affi'r e f re r Subscri ed and sworn (or affirmed l fore e i
by - 4D c S i 2 by (z b affix J s I Y ✓
Who is/are persona y known thIme or has/ av produced Whp�Is/are pers nally known to�xne or hasthave pr duced
n. ( ,,V�YS CP f.C2 �= as identification.
Notary Public Notary Public
Commission No. Commission
Name of N pro e� � 1� �D Name of Notary typed,printed or sta
....
Commission#GG 346275 CARLDS MALDDNAD
Expires June 18,2023 :9 Commission#G 20 3275
+. ` Bonded Thru Troy Fain Insurance e00 3851019
Tote
�: Al. Expires June 18, soo.3ss-
•''t Bonded 11,Troy Fain Insurance
Permit No. Parcel ID No -! 3 -2L-• 21 -6,o 4o o -00100— 4 0 2-2-
NOTICE OF COMMENCEMENT
State of County of l lA s Co
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement:
1. Description of Property: Parcel Identification No. 13 '- 2-4"2 4,0 " do d 042 " C20 2 2-
Street Address: W 2 G A,Y pv i^ 1 go G cl 2 e p b y r A i I IS r- l o r i Ca ct
2. General Description of Improvement G b Q Yn!�e V aJ+ P71 r✓Tli I t D 'D f n e-I S 011
Pre- ersji71 eer-e d Sfee I 10v11,410
3. Owner Information or Lessee information if the c Lessee o tracted for the improvement:
'4626 At-,-PVr+ Roaj LLc f t 1y11�- Nape►rls
g o 1® ��� ,- Road Wesley 01c peJ Fe.
Address City State
Interest in Property:
Name of Fee Simple Titleholder: /V /A
IV/Ar (If different from Owner listed above)Address
4. Contractor: n • J • (A). C(0 Ur Cj n &-tr Gl City State
Name
Address City State
Contractor's Telephone No.: &o f S o b-7 2_- 255 E
5. Surety: N/A
Name
Address City State
Amount of Bond: $ IV LA Telephone No.:
6. Lender. r41A
Name
1.4
Address �t City State
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whore notices or other documents may be served as provided by
Section 713. 0)(07),Florida Statutes:
14 A
Name 1vL'4
Address City T State
Telephone Numbor of Designated Person: i4
JJ
8. In addition to himself,the owner designates Al/A of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Te!u i.ene Munibor of Person or Entity Designated by Owner:
9. El-1,hatoii data of';Lt2'a of coni,�er.�:OmIze-l:t(t;la e::�;,ution vela i gay�,at ha :fc;e the can;,;✓Lion of construction and final payment to the
rnnCrartgr but will be one�eqr from the gate of recording sinless a different date is specified):
-"-3 TO ':=r'i `. `l ` ' irR ,�'`;f:R;;iE, 'tom i;v^;1 OF THE"NO-110E OF CONMJE�{CEMENT
't= -' ?� LR - 175 ' '=�,L13 U1{iA.iLR 713, 1':�s2T 1, SECTION T13.i3, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYiNTG TIVOCE FOR Ilt`PrIO EIVII_I' S TO YOU C'ROPE OPi'. A Ns- = Ui" 6E
RECORDED A14D POSTED ON l-{11 JOB-SiTL BEFORE THIS 1 MZST I'NSs i=C11u1• Fr Y01 l "EI S.TO 0Di s'-FL �ii ;,OO $1�T
WITH YOUR LENDER OR AN'ATTORNEY BEFORE ViORi-OR RLC0RDiN!G
Under penalty of perjury,I declare that I have read the foregoing notice of com. encement nd,t at the facts sated therein aria truce to the-best
of my knatfaedge and bc-lic•f.
STATF.OF Fl i)i RDA
COU,NTY'OF PASCO _
�Wre of 0 v:.zr9r r essee,or Cit vner's o Lessee's Auth ed
Officer/Director/Partner/Manager
;y crj's TF±e/Office
The fOreq:.;n...y-s I,ae,.L"t:<<'I wa��a : 1v:v. - d£: 20_,b):
as (type f au#e,g.,off1mf, co,attarncy in fact)for
(nameof p nt was executed).
Personally Kna: ❑O^f'rc.a=_ {: :.:., ...:v:❑ Notar c4 u� /' (hint) �YV ��
INSTR;# 2019136299 11K �9 4 ry�f CARLOSMALOONADO
PG 3L l �y;;•VY�; ..
�;;Commission#GG 3482T5
08/13/2019 10:20am Page 1 of 1 2�23 Rcp{: 2080723 fPo,` Expires June 18,
DS: Rec: 10 00 FOFFZ°; BoMedThruTmyF'I,1.aurance8003A;r7019
0.00 IT:
Nikko Alvarez-SOules, Esq• 0.00
Pasco Clerk & Comptroller. ad Interim
• • I �I I
a
d
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
1
Contractor/Homeowner:
Date Received: f 1
Site: t o O
, Permit Type: C � " f,
3
Approved w/no comments:w[A Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment she all be kept with the permit and/or plans.
Kalvi itzer—Plans Examiner Date Contractor and/or Homeowner
7
(Required when comments are present)